Bladder & ureters
Nonurothelial benign tumors
Postoperative granulomas

Topic Completed: 1 December 2014

Revised: 21 June 2019

Copyright: 2003-2019,, Inc.

PubMed Search: Post operative granulomas [title]

Monika Roychowdhury, M.D.
Page views in 2018: 333
Page views in 2019 to date: 362
Cite this page: Roychowdhury M. Postoperative granulomas. website. Accessed August 25th, 2019.
Definition / general
  • May be due to metals deposited during diathermy, local reaction to tissue necrosis or hypersensitivity reaction (Urology 1990;35:454)
  • Includes “starch” granulomas (Urology 1976;8:507)
Microscopic (histologic) description
  • Palisading histiocytes or giant cells surrounding central necrosis (resembling rheumatoid nodules) or foreign body type granuloma
  • Lesions heal by fibrous scarring
Microscopic (histologic) images

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Differential diagnosis
  • Granulomatous cystitis: terms may overlap; often refers to patients with infectious etiology and no distinct mass
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